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Home My WebLink About00330 Iii. 1 This does not constitute a building or use permit. GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 2014 Blake Avenue Glenwood Springs, Colorado 81601 il INDIVIDUAL SEWAGE DISPOSAL PERMIT NO 330 A John R. Boulton Owner • ii Sys Location Silt Licensed Contractor owner Conditional Construction approval is hereby granted for a liZ S 0 gallon 7 ` Septic Tank or Aerated treatment unit. Absorption area for diapersal area) computed as follows: // Perc rate of one inch in / O minutes requires a� minimum of ✓/4 sq. ft. of absorption area per ,pedroom. Therefore the no. of bedrooms Y x J ft. minimyrn requirement = a total of ‘b`Sq. ft. of absorption area. May we suggest SeCPAGC de ; /.2' /Cs $(33'PecP Date (7i - `o •' 22 Jr 77 Inspector -<.. _._'r 1 FINAL APPROVAL OF SYSTEM: i. No system shall be deemed to be in compliance with the wags Disposal Laws until the assembled system is approved prior to cover u ing any part ® /tom Septic Tank cleanout to within 12" of final grade or aerated access ports above grade - e/G Proper materials and assembly - o/e Trade name of septic tank or aerated treatment unit. 1 .e z� 44 c - (Z 4/ c ee re.. 0 Adequate absorption (or dispersal) area. f sc - 0 0e0‘, 0/C Adequate compliance with permit requirements. (2/ Adequate compliance with County and State regulations /requirements. ei ther � may.- o ..sc Date i�. /7/ 1 nspector/de -r/ r �i+�� ,, RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au- thority granted in 66 -444, CRS 1961 amended 66.8.14, CRS 1961 2. This permit is valid only for connection to structures yVhich have fully complied with County Zoning and building requirements. Connection to or use with any dwelling or structures n t approved by the building and Zoning office shall automatically be a viola- tion of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which In- I volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine — 6 months in jail or both. Building Official uP. Permit White Copy Applicant — Green Copy Dept. - Pink Copy _ Mr. Boulton: 'It would be appreciated if i you would send us the legal description on this property. Thank you. ' - 1_ ,�c 7 - sum NNW ENVIRONMENTAL NFALTB 2014 Blake Avenue Pk. (303) 945.1255 Glenwood Springs, Colorado 81110 0-4-6.K., 41-- i Fees Paid S INDIVIDUAL SEWAGE DISPOSAL SYSTEMS APPLICATION Date q- a•")(st. NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: / • Mail Address: SIj-4- b at 33 I City: a Zip: Q / 61- Phone: $•76 -2 INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells�soiilpercola- tion test holes, soil profiles in test holes. - ' "\IT 1. Location of facility: County,,�7� -�Rv - City or Town Legal Description (�, -g Z,,S.eA 4 Lot Size TO (7--e-tA 2. No. of Bedrooms Vi" Septic Tank Capacity / 3 b Aeration Unit Capacity — . Source of Domestic Water: Public (name): Private: Well Y. Depth 1 0 0 Other Depth to first ground water table 4. Is facility within boundaries of a city /town or sanitation district? r- C NI.A1 5. Distance to nearest sewer system: Have you attempted to arrange a connection with the system? If rejected, what was the reason? 6. Rate of absorption in test holes shown on the location map, in minutes per inch of drop in water level after holes have been soaked for 24 hours: 5c-- Q fijii r r —7. Name, address, and telephone of person who made soil absorption tests: 8. Name, address, and telephone of person responsible for design of the system: c67, if 9. Express permission is hereby granted for the inspection of the above property by any member of the Garfield County Environmental Health Department and /or such persons as they may designate. Any withdrawal of this permission shall be in writing and receipt acknowledged by the County Environmental Health Department. 10. I have been given an opportunity to read the Individual Disposal Systems Regulations of Garfield County and I hereby agree to comply with all terms, conditions and requirements included therein. J Date Signa ure of Applicant (TO BE RETURNED TO HEALT DEPT.) T PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY • ,� X J� C €. INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI- O Ck � BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES 2 '9 t � e 1 i i i J • S (r \ 8 " (TO BE RETURNED TO HEALTH DEPT.)